Intake form

Name *

Email address *

What type of recruitment service are you interested in?

What industry does your company operate in?

Please select at least one option.

Technology

Healthcare

Finance

Retail

Manufacturing

Education

Hospitality

What is the size of your company?

What is your preferred method of communication?

Please select at least one option.

Email

Phone

Video Conference

In-Person

How soon do you need to fill the position?

What is your budget range for recruitment services?

Additional questions or comments

The Employee Connect